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Speaker Information Submission Form

Are you interested in speaking at an ASQ member unit (Section, Division, or Local Member Community) event or conference? ASQ has a speaker directory for ASQ member leaders to reference when seeking out qualified speakers for their events. If you would like your information to be included in this directory, simply fill out the form below, and your information will be loaded and available for search.

It is important to note that speaking fees, travel expenses, length of presentation, and audience type and size are all important considerations to speaking request fulfillments. These details should be understood by both the prospective speaker and event organizer before an agreement to speak is made. Additionally, the information requested in the form will help organizers filter their criteria to pinpoint the best candidate, so please be accurate and thorough.

* = required fields

YOUR INFORMATION
Title* Mr. Ms. Mrs. Dr.
Other
               (please specify)
Last Name*
First Name*
Street Address


City*
State/Province*
Zip/Postal Code*
Country*
Telephone Number
E-mail Address*
Topics Covered* 1.

2.

3.
Willing to Travel*
Speaking Fee*
Speaker Bio*

or URL Link to Bio:
Presentation Abstract

or URL Link to Bio:
 

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